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Individual

GEORGE JOSEPH VESPER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
420 EAST MAIN ST, GREENWOOD, IN 46143
(317) 807-0456
(866) 788-3791
Mailing address
12515 TIMBER CREEK DR, UNIT 9, CARMEL, IN 46032

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002179A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100270530
IN
Enumeration date
07/25/2008
Last updated
08/03/2012
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